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慢性胰腺炎的磁共振成像进展

Advances in MRI of Chronic Pancreatitis.

作者信息

Tirkes Temel

机构信息

Department of Radiology and Imaging Sciences, Indiana University School of Medicine, 550 N. University Blvd. Suite 0663, Indianapolis, IN, 46202, USA.

出版信息

Adv Clin Radiol. 2024 Sep;6(1):31-39. doi: 10.1016/j.yacr.2024.04.002. Epub 2024 Jun 15.

Abstract

MRI and MRCP play an essential role in diagnosing CP by imaging pancreatic parenchyma and ducts. Quantitative and semi-quantitative MR imaging offers potential advantages over conventional MR imaging, including simplicity of analysis, quantitative and population-based comparisons, and more direct interpretation of disease progression or response to drug therapy. Using parenchymal imaging techniques may provide quantitative metrics for determining the presence and severity of acinar cell loss and aid in diagnosing CP. Given that the parenchymal changes of CP precede the ductal involvement, there would be a significant benefit from developing a new MRI/MRCP based, more robust diagnostic criteria combining ductal and parenchymal findings.

摘要

磁共振成像(MRI)和磁共振胰胆管造影(MRCP)通过对胰腺实质和导管进行成像,在慢性胰腺炎(CP)的诊断中发挥着重要作用。与传统MRI相比,定量和半定量磁共振成像具有潜在优势,包括分析简单、基于定量和人群的比较,以及对疾病进展或药物治疗反应的更直接解读。使用实质成像技术可为确定腺泡细胞丢失的存在和严重程度提供定量指标,并有助于CP的诊断。鉴于CP的实质改变先于导管受累,结合导管和实质表现制定基于MRI/MRCP的更可靠诊断标准将带来显著益处。

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本文引用的文献

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Organisation of the human pancreas in health and in diabetes.人胰腺在健康和糖尿病中的组织。
Diabetologia. 2020 Oct;63(10):1966-1973. doi: 10.1007/s00125-020-05203-7. Epub 2020 Sep 7.
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Chronic pancreatitis.慢性胰腺炎。
Lancet. 2020 Aug 15;396(10249):499-512. doi: 10.1016/S0140-6736(20)31318-0.

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